Findings

What do systematic reviews say?

8 questions · 8 findings · 1 reviews

No studies found 1 · 12.5%GRADE not reported 0 · 0%Very low 1 · 12.5%Low 4 · 50%Moderate 1 · 12.5%High 1 · 12.5%

Postoperative pathological acid reflux · adult patients (> 18 years) with achalasia

It is very uncertain whether LHC + Dor changes postoperative pathological acid reflux compared with LHC without fundoplication (very low certainty).

1 finding from 1 review

Fundoplication in laparoscopic Heller's cardiomyotomy for achalasia 2022 · Cochrane Headline outcomes only
RR 0.37 [0.07, 1.89]
2 studies · 97 participants
Very low

Severe postoperative dysphagia · adult patients (> 18 years) with achalasia

LHC + Dor showed no clear difference in severe postoperative dysphagia compared with LHC without fundoplication (low certainty).

1 finding from 1 review

Fundoplication in laparoscopic Heller's cardiomyotomy for achalasia 2022 · Cochrane Headline outcomes only
RR 3 [0.34, 26.33]
3 studies · 143 participants
Low

Postoperative pathological acid reflux · adult patients (> 18 years) with achalasia

LHC + Dor showed no clear difference in postoperative pathological acid reflux compared with LHC + Toupet (low certainty).

1 finding from 1 review

Fundoplication in laparoscopic Heller's cardiomyotomy for achalasia 2022 · Cochrane Headline outcomes only
RR 0.75 [0.23, 2.43]
3 studies · 105 participants
Low

Severe postoperative dysphagia · adult patients (> 18 years) with achalasia

LHC + Dor showed no clear difference in severe postoperative dysphagia compared with LHC + Toupet (low certainty).

1 finding from 1 review

Fundoplication in laparoscopic Heller's cardiomyotomy for achalasia 2022 · Cochrane Headline outcomes only
RR 0.78 [0.19, 3.15]
3 studies · 123 participants
Low

Postoperative pathological acid reflux · adult patients (> 18 years) with achalasia

LHC + Dor showed no clear difference in postoperative pathological acid reflux compared with LHC + Nissen (low certainty).

1 finding from 1 review

Fundoplication in laparoscopic Heller's cardiomyotomy for achalasia 2022 · Cochrane Headline outcomes only
RR 4.72 [0.23, 96.59]
1 study · 138 participants
Low

Severe postoperative dysphagia · adult patients (> 18 years) with achalasia

LHC + Dor leads to lower severe postoperative dysphagia compared with LHC + Nissen (high certainty).

1 finding from 1 review

Fundoplication in laparoscopic Heller's cardiomyotomy for achalasia 2022 · Cochrane Headline outcomes only
RR 0.19 [0.04, 0.83]
1 study · 138 participants
High

Postoperative pathological acid reflux · adult patients (> 18 years) with achalasia

The review found no eligible studies for this question.

1 finding from 1 review

Fundoplication in laparoscopic Heller's cardiomyotomy for achalasia 2022 · Cochrane Headline outcomes only
no estimate extracted
Studies not reported
No studies found

Severe postoperative dysphagia · adult patients (> 18 years) with achalasia

LHC + Dor showed no clear difference in severe postoperative dysphagia compared with LHC + angle of His accentuation (moderate certainty).

1 finding from 1 review

Fundoplication in laparoscopic Heller's cardiomyotomy for achalasia 2022 · Cochrane Headline outcomes only
RR 1.56 [0.27, 8.95]
1 study · 110 participants
Moderate